Balboa, Jody A
Balboa, Jody A is an sole proprietor health care provider with primary practice located at 541 N. San Jacinto Ave , Hemet CA 92544. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Balboa, Jody A can be contacted via phone (951) 791-3031.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 101168 | California |
Profile Details
| NPI number | 1487825691 |
|---|---|
| LBN Legal business name | Balboa, Jody A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2008 |
| Last updated | Aug 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487825691 | NPPES |
| California | MEDICAID | 956000930 |
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